Buccal fat removal vs. Jowl liposuction vs. Chin augmentation. What would be best in my case? (Photos)

Hi, I have chipmunk cheeks and wide face as well as sagging jowl. All that combined makes my lower face look very heavy. When I pull my skin up in the region next to my mouth I look sooo much better. I've tried injection lypolysis but it didn't help all that much and I've had botox injected into my masseter muscle which did help with the width of my face but I don't want to spend that much money twice a year on botox and am looking for something more permanent. I'm thankful for any suggestions!

Doctor Answers 2

Buccal fat removal vs. Jowl liposuction vs. Chin augmentation. What to do? =go to a plastic surgeon #buccalfat #buccalfatremoval

Patients with chipmunk cheeks that on top have early jowls in addition of buccal fat removal require in most of the cases lateral and sometimes anterior cheek bone augmentation with either fillers or implants.

Buccal fat removal plastic surgery helps to improve the fullness of the anterior lower cheek, but won;t address the jowls.


Jowls are secondary to vertical descend ( "fall" ) of the facial tissues. Therefore, in order to improve the jowls, the face should be "lifted". In young patients the face could be lifted by enhancing the cheek bones ( lateral and anterior cheek bones). This could be easily done in the office setting with soft tissue fillers like Voluma or surgically with implants. See my blog post bellow to understand the concept. 


The combination of buccal fat removal and cheek augmentation usually allows to address the chipmunk and jowls of the lower face. 


New York Plastic Surgeon
4.9 out of 5 stars 129 reviews

Permanent procedure for wide and sagging face

Thank you for asking about your facial apearance.

  • I think you need a face-to-face consultation to discuss your areas of dissatisfaction and what should be done.
  • If the problem is a hypertropic masseter muscle, only Botox will reduce it.
  • Fillers might soften the drooping by the mouth but are temporary -
  • A lower face lift may be helpful.

Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.